<html>

<body>
<table>
<tr>
<td width="390" align="center">Seulawah Hotel</td>
</tr>
<tr>
<td align="center">Jl. Mawar No. 8 Batu, Jawa Timur</td>
</tr>
<tr>
<td align="center">Telp (0341) 594 955 – 594 981- Fax: (0341) 594 988</td>
</tr>
</table>

<table>
<tr>
<td>No. Invoice</td>
<td>:</td>
<td></td>
</tr>
<tr>
<td>Room Name</td>
<td>:</td>
<td></td>
</tr>
<tr>
<td>Order Time</td>
<td>:</td>
<td></td>
</tr>
<tr>
<td>PIC</td>
<td>:</td>
<td></td>
</tr>
</table>
<table border="1">
<tr>
<td>Code Barang</td>
<td>Nama Barang</td>
<td>QTY</td>
<td>Harga per Barang</td>
<td>Amount</td>
</tr>
<tr>
<td></td>
<td></td>
<td align="center"></td>
<td align="right"></td>
<td align="right"></td>
</tr>
</table>
<table>
<tr>
<td width="150"></td>
<td width="20"></td>
<td width="20"></td>
<td width="50"></td>
<td width="113"></td>
</tr>
<tr>
<td align="center" colspan="3">Sub Total</td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td align="center" colspan="3">Cash</td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td align="center" colspan="3">Service Tax</td>
<td align="center">10%</td>
<td align="right"></td>
</tr>
<tr>
<td align="center" colspan="3">PPN</td>
<td align="center">10%</td>
<td align="right"></td>
</tr>
<tr>
<td align="center" colspan="3"> Grand Total</td>
<td></td>
<td align="right"></td>
</tr>
<tr>
<td align="center" colspan="3">Total Savings</td>
<td></td>
<td align="right"></td>
</tr>
</table>
<br>
<table>
<tr>
<td width="390" align="center"><h5 >Thank you for staying with us, we hope to have again with us.</h5></td>
</tr>
</table>


</body>
</html>